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Week 2, NR 565 Advanced Pharmacology Final
Exam Study Guide , 2025 | Pharmacology
Advanced Final NR 565 |2024-2025 latest
version|Comprehensive questions and verified
answers/accurate solutions|Already…
Save
Terms in this set (826)
1st line treatment for diabetes lifestyle changes and metformin
1st line treatment of osteoporosis alendronate
1st vs. 2nd Generation Sulfonylurea All 1st generation have been discontinued. 2nd
generation (Glipizide) have shorter duration of
action and increased potency.
,12 CDC guidelines for prescribing Opioids are not first line therapy
opioids establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
12 essential considerations for safe 1. Opioids are not first-line therapy
pain management 2. Establish goals for pain & function
3. Discuss risk & benefits
4. Use IR opioids when starting
5. Use the lowest effective dose
6. Prescribe short durations for acute pain
7. Evaluate benefits & harms frequently
8. Use strategies to mitigate risk
9. Review PDMP data
10. Use urine drug testing
11. Avoid concurrent opioid & benzodiazepine
prescribing
12. Offer tx for opioid disorder
,A 41 year old patient comes into the 2- I will prescribe a BB to help with this
clinic complaining of increased heart
rate after starting nitro patches for
stable angina. What would an
appropriate response be?
1. lets lower the dose and frequency
of use
2. I will prescribe a BB to help with
this
3. Next time this happens, lie down
and practice deep breathing, this will
bring your heart rate down
A 55 year old male comes into the 3- in patients with infrequent flareups, being less
clinic with a gouty arthritis. He states than three per year, treatment of symptoms is all
that he has one flareup a year. Your thats needed. NSAIDS are the first line agent for
response is: relieving pain of an acute gout attack.
1. I will prescribe you glucocorticoids
to help with inflammation
2. Lets start you on prophylactic
therapy colchicine.
3. It will be helpful to take an NSAID
to start with to help relive some
inflammation. I'll prescribe naproxen.
, An 82 year old male visits the clinic 2&3
complaining that his pain
medications "take forever" to work
after he takes his pill. What are
possible reasons you can explain to
him?
1.Perhaps we need to increase your
dosage.
2.Sometimes as you get older,
absorption may be slower resulting
in a delayed response.
3.As we get older the gastric acid
decreases and may slow absorption.
A1c general goal <7%
A1C goal for diabetics 7% per ADA standards
A1C goal for older adults 7-8%
A1C goal for someone with diabetes less than 7%
A1C indicative of diabetes Greater than 6.5%
ACEI and ARBs can lead to renal Patients w/ bilateral renal artery stenosis
failure in who?
ACE inhibitors contraindications African American, 2nd/3rd timester pregnancy,
renal disease
Week 2, NR 565 Advanced Pharmacology Final
Exam Study Guide , 2025 | Pharmacology
Advanced Final NR 565 |2024-2025 latest
version|Comprehensive questions and verified
answers/accurate solutions|Already…
Save
Terms in this set (826)
1st line treatment for diabetes lifestyle changes and metformin
1st line treatment of osteoporosis alendronate
1st vs. 2nd Generation Sulfonylurea All 1st generation have been discontinued. 2nd
generation (Glipizide) have shorter duration of
action and increased potency.
,12 CDC guidelines for prescribing Opioids are not first line therapy
opioids establish goals for pain and function
Discuss risks and benefits
Use immediate release opioids when starting
Use the lowest effective dose
Prescribe short durations for acute pain
Evaluate benefits and harms frequently
Use strategies to migrate risk
Review PDMP data
Use urine drug testing
Avoid concurrent opioid and benzo prescribing
Offer treatment for opioid use disorder
12 essential considerations for safe 1. Opioids are not first-line therapy
pain management 2. Establish goals for pain & function
3. Discuss risk & benefits
4. Use IR opioids when starting
5. Use the lowest effective dose
6. Prescribe short durations for acute pain
7. Evaluate benefits & harms frequently
8. Use strategies to mitigate risk
9. Review PDMP data
10. Use urine drug testing
11. Avoid concurrent opioid & benzodiazepine
prescribing
12. Offer tx for opioid disorder
,A 41 year old patient comes into the 2- I will prescribe a BB to help with this
clinic complaining of increased heart
rate after starting nitro patches for
stable angina. What would an
appropriate response be?
1. lets lower the dose and frequency
of use
2. I will prescribe a BB to help with
this
3. Next time this happens, lie down
and practice deep breathing, this will
bring your heart rate down
A 55 year old male comes into the 3- in patients with infrequent flareups, being less
clinic with a gouty arthritis. He states than three per year, treatment of symptoms is all
that he has one flareup a year. Your thats needed. NSAIDS are the first line agent for
response is: relieving pain of an acute gout attack.
1. I will prescribe you glucocorticoids
to help with inflammation
2. Lets start you on prophylactic
therapy colchicine.
3. It will be helpful to take an NSAID
to start with to help relive some
inflammation. I'll prescribe naproxen.
, An 82 year old male visits the clinic 2&3
complaining that his pain
medications "take forever" to work
after he takes his pill. What are
possible reasons you can explain to
him?
1.Perhaps we need to increase your
dosage.
2.Sometimes as you get older,
absorption may be slower resulting
in a delayed response.
3.As we get older the gastric acid
decreases and may slow absorption.
A1c general goal <7%
A1C goal for diabetics 7% per ADA standards
A1C goal for older adults 7-8%
A1C goal for someone with diabetes less than 7%
A1C indicative of diabetes Greater than 6.5%
ACEI and ARBs can lead to renal Patients w/ bilateral renal artery stenosis
failure in who?
ACE inhibitors contraindications African American, 2nd/3rd timester pregnancy,
renal disease
